Individual
MS. LORRAINE RENEE MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
413 104TH AVENUE COURT EAST, EDGEWOOD, WA 98372-6011
(253) 961-1486
Mailing address
413 104TH AVENUE COURT E, EDGEWOOD, WA 98372
(253) 961-1486
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT 12658
FL
225X00000X
Occupational Therapist
Primary
OT00001032
WA
Other
Enumeration date
11/18/2009
Last updated
11/18/2009
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